Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Other names
GPHA - Daroff School Based Health Suite
Organization subpart
No
Provider details
NPI number
Authorized official
D. TINA SMITH (PROVIDER ENROLLMENT SPEC.)
(215) 925-2400
Entity
Organization
Contact information
Practice address
5630 VINE STREET, PHILADELPHIA, PA 19139-4703
(215) 220-9006
(215) 689-1418
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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